TY - JOUR T1 - Unusual cause of colonic mucosal ulceration and gastrointestinal bleeding JF - Frontline Gastroenterology JO - Frontline Gastroenterol DO - 10.1136/flgastro-2021-101844 SP - flgastro-2021-101844 AU - Youseung Kim AU - Varun Kesar AU - David LeBel Y1 - 2021/06/14 UR - http://fg.bmj.com/content/early/2021/06/14/flgastro-2021-101844.abstract N2 - A 60-year-old woman with a history of type 2 diabetes mellitus complicated by end-stage renal disease (ESRD) and on haemodialysis (HD) for 12 months, presented with 1 day of diffuse cramping abdominal pain associated with haematochezia. The patient denied other symptoms including fever, chills, nausea, vomiting or diarrhoea. On examination, the patient was hypotensive (75/45 mm Hg). The patient also notes that she had a similar presentation just 8 months prior and was diagnosed with ischaemic colitis presumed secondary to hypotension associated with HD. CT angiography of the abdomen and pelvis revealed segmental wall thickening of the distal transverse colon/hepatic flexure with … ER -